Revista médica de Chile
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Revista médica de Chile · Oct 2020
[Prevalence of cholelithiasis and gallbladder cancer among Aymara individuals].
The prevalence of cholelithiasis and gallbladder cancer may be different across ethnic groups. ⋯ There is a 42% prevalence of cholelithiasis and no gallbladder cancer in this sample of Aymara population.
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Revista médica de Chile · Oct 2020
[Equations to estimate body composition using bioelectrical impedance in Chilean adults].
Equations for the evaluation of fat-free mass (FFM) and fat mass (FM) with Bioelectrical impedance analysis (BIA) were formulated in Caucasian populations. International recommendations suggest that population-specific equations should be formulated. ⋯ Both equations behave similarly and have biases, although less with Schifferli. Statistically correcting for biases, the new adjusted equations provide clinically valid estimates of FFM and FM. Equations should not only be population-specific, but also device-specific.
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Revista médica de Chile · Oct 2020
[Proposal on the principles that should guide the ethical responsibilities of the state during the COVID-19 pandemic].
On March 11, 2020, the World Health Organization (WHO) stated that the number of cases of COVID-19 multiplied by 13 outside China, with a threefold increase in the number of affected countries. The WHO expressed its concern about the alarming levels of spread and severity of the outbreak, declaring the pandemic. ⋯ To meet the challenge, Governments must make decisions based on the principles that govern the State- These should consider the differences and particularities of those affected, without diverting attention from collective social protection. The following is a proposal on the ethical principles that should guide a State that makes decisions in public health emergencies.
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Revista médica de Chile · Oct 2020
[Analysis of health care demand subsidies and the role of private health care corporations].
This work analyzes the demand subsidies to access health care and their relationship with large private corporations in Chile, through the transfer of public funds through the modality of freedom of choice (MLE) from 2000 to 2018. Therefore, we analyzed the expansion of the health market and the strengthening of health care corporations, identifying the distribution of resources according to type of health provider. ⋯ We identified an increasing transformation of medical work from free exercise to become dependent on private health corporations, and an increase in public dependence on private providers to meet health demands. There is a growing capture of public funds by these holdings, using the strategy of increasing provider property concentration and a trans nationalization of the health market in Chile.
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Revista médica de Chile · Oct 2020
[SARS-CoV-2 infection as a thrombo-inflammatory endothelial disease].
Coronavirus disease 19 is characterized by an intense inflammatory response and a high incidence of thrombotic events. Autopsy studies show severe endothelial injury associated with thrombosis of the alveolar capillaries of the lungs and other organs. ⋯ Heparin is an excellent drug to treat Covid-19 patients due to its anticoagulant, anti-inflammatory, antiviral and endothelial effects. Clinical guidelines agree that the use of heparin thromboprophylaxis is a component of Covid-19 coagulopathy treatment, even though the dose and duration of treatments are not well defined.